Case Presentation: A 76-year-old male was admitted to an outside hospital with several weeks of progressive dyspnea and wheezing. His past medical history was significant for ischemic cardiomyopathy, type 2 diabetes mellitus, and chronic kidney disease. His social history was significant for having lived in Somalia, Yemen, and Indonesia prior to immigrating to the United [...]

Case Presentation: Hepatic carcinosarcoma (HCS) is an extremely rare kind of hepatic malignancy with elements of both carcinoma and sarcoma. Chronic lymphocytic leukemia (CLL), on the other hand, is the most common lymphoid malignancy in North America accounting for ~25% of leukemia cases in the United States. This is the first case report in medical [...]

Case Presentation: A healthy 26-year-old man with no significant past medical history presented to our hospital with right arm pain and swelling for one day. Pain was described as tight pressure with numbness worsening with movement. He had no known inciting trauma but does heavy lifting and plays baseball. He denied family history of venous [...]

Case Presentation: A 54-year-old female with a history of hypertension presented to the emergency department with nausea, vomiting, and acute worsening of a chronic headache of 1-week duration. Her past medical history was significant for a suspected pituitary macroadenoma of 1.7 cm, which was incidentally detected 7 months before the current presentation. She reported a [...]

Case Presentation: An 82 year old male with unknown PMH presented with worsening dry cough and dyspnea. 1 week course of antibiotics provided minimal relief. Patient was febrile/tachycardic on arrival with rhonchi appreciated on bilateral lower lung field auscultation. His oxygen saturation was found to be dipping below 90% on room air for which he [...]

Case Presentation: A 41-year-old female with a history of orthotopic liver transplant for cirrhosis from non-alcoholic fatty liver disease presented with 1 week of fevers. Her liver transplant was 3 years prior to presentation. She reported a 3-month history of diarrhea and odynophagia preceding the onset of fevers (maximum 38.8 C).On presentation, initial vital signs [...]

Case Presentation: A 78 year old previously healthy male presented to the hospital with 1 week of worsening confusion, shuffling gait, headache, and diarrhea. On admission, he was only oriented to person with no focal neurological deficits. Initial vitals were significant for a temperature of 49.2 oC. Imaging on admission including a chest x-ray, CT [...]

Case Presentation: A 53 year old male Missouri resident with a prior history of intravenous drug use, traumatic subdural hematoma, seizure disorder and a diagnosis of human immunodeficiency virus (HIV) / acquired immunodeficiency syndrome (AIDS) in 1990 presented to his local hospital in April with a 1 day history of fever and confusion. He was [...]

Case Presentation: New onset rash in a hospitalized patient is a frequent challenge. While common presentations of drug associated rash are readily recognized, less common presentations can be mis-identified. Here we present the clincal vignette of a 62-year-old female patient with a past medical history of hypertension who was hospitalized with severe COVID-19 pneumonia and [...]

Case Presentation: A 29 year-old man presented with 3 weeks of paresthesias, fatigue, and weight loss. The patient also reported nausea, constipation, urinary urgency, and erectile dysfunction. Physical examination demonstrated decreased temperature perception and sharp-dull discrimination in the bilateral distal lower extremities. Laboratory studies revealed elevated ESR (57 mm/hour), elevated CRP (2.0 mg/dL), and decreased [...]